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									                                 St. Luke Young Adult ACTS
                                          January 5-8, 2012
                                          Application Form

      Please join us for a weekend of faith, fellowship and fun by attending our parish’s
 Young Adult ACTS retreat! The purpose of this retreat is to enhance our relationship with the
       Lord and with other young adults who will accompany us on this faith journey.

   The retreat begins Thursday, January 5, 2012 with check-in at 6:00 p.m. at St. Luke Catholic
   Church. It ends Sunday, January 8, 2012 after the 4:00 p.m. mass at St. Luke, followed by a
   reception. Round trip transportation to and from the Moye Retreat Center will be provided
                                       for all retreatants.

Name: ______________________________ First Name/Nickname on Badge:___________________

Address: _______________________________City: _____________________ Zip Code: _________

Cell Phone: _________________ Home Phone: ___________________ Other: _________________

School: _____________________________________ Parish/Church: __________________________

Age: ______ Birthday: ____________ Shirt Size (Circle one): YL AS         AM AL AXL A2XL


       Type of Event: Young Adult ACTS Retreat (Participants should be out of high school and at
        least 18 years old and up to 26 years old)
       Date of the Event: January 5-8, 2012
       Activities: Interaction with young adults concerning religious, spiritual, moral, and social
        matters through prayer, scripture and personal sharing
       Cost: $160.00 Deposit: $60.00 (Non-refundable) Payable to: St. Luke Young Adult ACTS
       Place of Event: Moye Retreat Center 600 London St. Castroville, TX 78009
       Estimated Time of Departure: January 5, 2011 at 6:45pm (from St. Luke Catholic Church)
       Estimated Time of Return: January 8, 2011 at 4:00 Mass (at St. Luke Catholic Church)

       You will receive an email or phone call ten to fourteen days prior to the retreat with additional
            information. If you need further information or have any questions, please contact
                         Dani Call (210) 373-5202 or James Perez (210) 326-7345.

       Application deadline is Dec 31st, 2011. Please inquire with Dani or James to check availability.

        Mail to: Collin Krejci        6650 Prue Rd. APT 834         San Antonio, TX 78240
                                   Email to:

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